Individual
DR. ASHA YAMINI PONUGOTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2594 LOGANVILLE HWY, SUITE 106, GRAYSON, GA 30017-7848
(678) 682-9819
Mailing address
2594 LOGANVILLE HWY, SUITE 106, GRAYSON, GA 30017-7848
(678) 682-9819
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN013843
GA
Other
Enumeration date
07/03/2007
Last updated
01/15/2013
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